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ABA · Florida Blue · New York

Florida Blue ABA reimbursement rates in New York

For ABA therapy by a technician (97153), Florida Blue's median in New York is $28.57 per 15 min, or $114.28 an hour, from 6 published rates. That is 197% above New York Medicaid ($9.63).

Updated 2026-10-08September 2026 files

97153 median
$28.57per 15 min
97155 median
$27.37per 15 min
Files
September 2026
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Florida Blue vs New York Medicaid and TRICARE

For protocol modification by the analyst (97155), Florida Blue's median in New York is $27.37 per 15 min, or $109.48 an hour, from 6 published rates. That is 42% above New York Medicaid ($19.26). Florida Blue pays 0.96 times as much for analyst time as for technician time in New York. Figures come from Florida Blue's September 2026 price-transparency files. 1 credential or modifier tier is broken out in the workspace.

CodeFlorida Blue medianPer hourNew York MedicaidTRICARERates (n)
97153One-on-one ABA therapy by a technician$28.57per 15 min$114.28$9.63—611 providers
97155ABA therapy led by the analyst (plan adjusted in session)$27.37per 15 min$109.48$19.26—611 providers
Florida Blue$28.57
New York Medicaid$9.63
97153, per 15 min.
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FAQ

Frequently asked questions

What does Florida Blue pay for 97153 in New York?

The median of Florida Blue's published New York rates for 97153 is $28.57 per 15 min ($114.28 per hour), from 6 rates and 11 providers in the September 2026 files.

What does Florida Blue pay for 97155 in New York?

The median of Florida Blue's published New York rates for 97155 is $27.37 per 15 min ($109.48 per hour), from 6 rates and 11 providers in the September 2026 files.

Does Florida Blue pay more than New York Medicaid for ABA?

For 97153, Florida Blue's median is 197% above the New York Medicaid fee-for-service rate of $9.63 per 15 min.